Organization
GOODING PHARMACY INC
Active
Other names
Shoshone Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON READING (PRESIDENT)
(208) 324-3784
Entity
Organization
Contact information
Practice address
653 SOUTH BEVERLY STREET, SHOSHONE, ID 83352
(208) 934-4000
(208) 886-2220
Mailing address
653 S BEVERLY ST, SHOSHONE, ID 83352-5121
(208) 886-2000
(208) 886-2220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
43300LS
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164357
PK
—
Enumeration date
09/23/2016
Last updated
11/14/2025
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